FCC Orders and Resources

Promoting Telehealth in America

Released on August 20, 2019 and effective August 1, 2019, this Order reformed the RHC program and increased transparency, predictability and efficiency of RHC program funding decisions.

• USAC web page with more information
• Public Notice DA 19-1253 (Implementation schedule)

Healthcare Connect Fund Order

Released December 21, 2012 and effective on April 1, 2013, this Order launched the Healthcare Connect Fund to expand health care provider access to broadband.

RHC Program Inflation-Based Cap Announced for FY2024

The Rural Health Care (RHC) program funding cap for funding year (FY) 2024 is $706,926,603. The internal cap for upfront payments and multi-year commitments under the Healthcare Connect Fund (HCF) Program is $178,496,951. The internal cap for upfront payments and multi-year commitments will apply only if RHC program demand exceeds available funding. These new caps represent a 3.6 percent inflation-adjusted increase to the $682,361,586 RHC program funding cap and the $172,294,354 internal cap on multi-year commitments and upfront payments from FY2023. Read the announcement.

FCC Releases Order DA 24-214 Extending the Deadline for Funding Year (FY) 2024 Filing Window to May 1, 2024.

On March 7, 2024, the FCC released  Order DA 24-214 extending the deadline for the FY2024 application filing window to May 1, 2024. This means all funding requests (FCC Forms 462 or 466) must be submitted no later than 11:59 p.m. ET on May 1, 2024. We highly encourage you to submit your funding requests as early as possible in the filing window.

On December 14, 2023, the FCC released Order FCC 23-110. This order improves RHC program administration and facilitates participation in the program by allowing health care providers that expect to become eligible during a funding year to complete the processes required to request funding, aligns program deadlines by moving the SPIN change deadline to align with the invoice filing deadline, simplifies rules for calculating urban rates, streamlines administrative processes by using a single eligibility form for both RHC programs, allows healthcare providers to request changes to the dates of an evergreen contract, and frees up unused funding for other purposes.

FCC Releases Order DA 23-189 Extending the Deadline for Funding Year (FY) 2023 Filing Window to May 1, 2023.

On March 8, 2023, the FCC released FCC Order DA 23-189 extending the deadline for the FY2023 Application Filing Window to May 1, 2023. This means all funding requests (FCC Forms 462 or 466) must be submitted no later than 11:59 p.m. ET on May 1, 2023. We highly encourage you to submit your funding requests as early as possible in the filing window.

Visit USAC’s website for more information about filing windows.

FCC Releases Order on Reconsideration, Second Report and Order, Order, and Second Further Notice of Proposed Rulemaking: Strengthening Rural Health Care Program Procedures

On January 26, 2023, the Federal Communications Commission (FCC) released an Order on Reconsideration, Second Report and Order, Order, and Second Further Notice of Proposed Rulemaking strengthening the procedures for the Rural Health Care (RHC) program. These actions resolve petitions for reconsideration on issues from FCC Report and Order 19-78, adopt proposals from the February 2022 Further Notice of Proposed Rulemaking, and propose and seek comment on further reforms to RHC program rules.

For more information, read the Order on Reconsideration, Second Report and Order, Order, and Second Further Notice of Proposed Rulemaking.

FCC Releases Order DA 22-580: Waives Use of Rates Database for All Telecom Program Applicants for FY2023

On May 25, 2022, the FCC Wireline Competition Bureau (Bureau) released Order DA 22-580  extending the waiver of the requirement to use the Telecom Program Rates Database for determining rural rates for health care providers in nationwide for FY2023. This action will ensure that service providers nationwide will receive sufficient Telecom Program support for FY2023 while the FCC further examines an effective rate determination mechanism for the Telecom Program.

For more information, read Order DA 22-580 .

FCC Releases DA 22-401: Waives Use of Telecom Program Rural Rates Database for Alaska Applicants

On April 12, the FCC Wireline Competition Bureau (Bureau) released DA 22-401, extending the waiver of the requirement to use the Telecom Program Rates Database for determining rural rates for health care providers in the State of Alaska for Funding Year (FY) 2023. This action will ensure that telecommunications service providers in Alaska will receive sufficient Telecom Program support for FY2023 while the FCC further examines an effective rate determination mechanism for the Telecom Program.

For more information, read DA 22-401.

FCC Releases Hurricane Ian Relief Order

On October 4, 2022, the Wireline Competition Bureau (WCB) of the Federal Communications Commission (FCC) released an Order (DA 22-1063) that waives certain E-Rate, Emergency Connectivity Fund, Rural Health Care, COVID-19 Telehealth, Lifeline, Affordable Connectivity Program, and High Cost rules and deadlines to assist participants and service providers located in the areas affected by Hurricane Ian, which struck Florida on September 28, 2022 and the states of North Carolina and South Carolina on September 29, 2022. For detailed information, please refer to the Order.

FCC Releases Order 22-998 Providing Relief to Participants Affected by Hurricane Fiona

On September 22, 2022, the Wireline Competition Bureau (WCB) of the Federal Communications Commission (FCC) released an Order (DA 22-998) that waives certain E-Rate, Emergency Connectivity Fund, Rural Health Care, COVID-19 Telehealth, Lifeline, and Affordable Connectivity Program rules and deadlines to assist participants and service providers, including Universal Service Fund contributors, located in the areas affected by Hurricane Fiona, which struck Puerto Rico on September 18, 2022. For detailed information, please refer to the Order.

FCC Announces Availability of Unused Funds To Increase Rural Health Care Program Funding for FY2022

On July 22, 2022, the FCC Wireline Competition Bureau directed USAC to carry forward up to $380.50 million in unused funds from prior funding years to the extent necessary to satisfy funding year (FY) 2022 demand for the Rural Health Care program. Read the Public Notice.

FCC Releases Order 22-221 Extending the Deadline for Funding Year (FY) 2022 Filing Window to June 1, 2022.

On March 3, 2022, the FCC released FCC Order DA 22-221 extending the deadline for the FY2022 Application Filing Window to June 1, 2022. Applicants now have a 61-day extension from the original filing deadline of April 1, 2022.

This means all funding requests (FCC Forms 462 or 466) must be submitted no later than 11:59 p.m. ET on June 1, 2022 for the initial filing window period. We highly encourage you to submit your funding requests as early as possible in the filing window period. Visit USAC’s website for more information about filing windows.

FCC Releases FCC 22-15, Further Notice of Proposed Rulemaking (FNRP)

On February 22, 2022, the Federal Communications Commission (FCC) released a Further Notice of Proposed Rulemaking (FNPR), FCC 22-15, seeking comment on several revisions to the Rural Health Care (RHC) program rules. The FCC is seeking comment on the following:

• For the Telecommunications (Telecom) Program, the FCC seeks an alternative rate determination mechanism to improve the accuracy of rural and urban rates.
• Further, the FCC seeks comments on harmonizing the invoicing process for the Telecom program with the HCF program invoicing process.
• For the Healthcare Connect Fund (HCF), the FCC proposes to limit the applicability of the program’s sub-cap on upfront payments and multi-year commitments in instances where demand exceeds available funding.
• The FCC seeks comment on any additional measures that could further enhance the efficiency of the application process while protecting the integrity of the fund and protecting against waste, fraud, and abuse.

Read the Further Notice of Proposed Rulemaking (FNPR), FCC 22-15, for more information.

FCC Releases Order 21-1107 Granting Relief to RHC Participants Affected by Hurricane Ida

On September 3, 2021, the FCC issued Order DA 21-1107 waiving certain RHC rules and deadlines to assist participants and providers located in the areas affected by Hurricane Ida. This Order applies to healthcare providers and service providers located in all  parishes and counties in Louisiana and Mississippi as of the date of release of this Order (September 3, 2021).

This Order grants the following waivers and extensions for all affected RHC program applicants:

• Grants a 60 day extension to the deadline for appeals and requests for waivers for all requests from August 20, 2021 through January 31, 2022
• Waives 14-day Information Request deadline for Information Requests related to funding requests, appeals and waiver, invoices, audits and other documentation and applies to all funding years
• Waives the September 30, 2021 deadline for HCF program consortia annual reports
• Program participants will not be penalized for failure to retain records destroyed by Hurricane Ida

FCC Announces Availability of Unused Funds to Increase Rural Health Care Program Funding for FY2021

On June 23, 2021, the FCC Wireline Competition Bureau directed USAC to carry forward up to $379.97 million in unused funds from prior funding years to the extent necessary to satisfy funding year (FY) 2021 demand for the Rural Health Care program.

FCC Releases Order 21-394: Waives Use of Rates Database for Telecom Program Applicants for FY2021 and FY2022

On April 8, 2021, the FCC released Order DA 21-394, waiving the requirement that health care providers and service providers participating in the Telecommunications (Telecom) Program use the Rates Database to calculate urban and rural rates for funding years 2021 and 2022.

In addition, the Order grants the following extensions for all RHC program applicants:

• Grants a one-year extension of the service delivery deadline for FY2020 to June 30, 2022.
• Grants a 120-day extension of the invoice filing deadline for FY2020.
• Directs USAC to grant an extension of 28 days for the deadline to respond to USAC’s information request if an applicant requests the extension before the expiration of the initial 14-day deadline. This relief applies to information requests issued from April 8, 2021 through December 31, 2021.

Filing Window Close Extended to June 1, 2021

Extends the close of the FY2021 filing window to 11:59 p.m. ET June 1, 2021

Waives Use of Telecom Program Rural Rates Database for Alaska Applicants

Waives the requirement to use the Telecom program Rates Database for determining rural rates for health care providers in the State of Alaska. This action will ensure that telecommunications service providers in Alaska will receive sufficient Telecom program support for the next two funding years, thereby providing a reliable telecommunications marketplace for Alaskan health care providers, while the FCC further examines how to apply the Rates Database to Alaska in light of its unique and challenging geography.

This waiver is in place for FY2021, for which competitive bidding has already begun, and for FY2022 unless the FCC has separately addressed the pending petitions for reconsideration within the year (i.e., by January 19, 2022).

Gift Rule Waiver Extended to June 30, 2021

The FCC extends through June 30, 2021, the temporary waiver of the RHC program gift rule to enable health care providers to receive free upgraded services from service providers. Extending the gift rule waiver will enable these health care providers to continue to receive, on a temporary basis, free telecommunication services and equipment that would otherwise be prohibited, thereby enhancing the delivery of quality medical care across the country. The gift rule waiver is limited to health care providers involved in the screening and treatment of patients for COVID-19 and in providing service to other patients in an effort to both help mitigate the spread of COVID-19 and devote limited on-site medical resources towards treatment of COVID-19.

Certain Rule Changes to be Implemented in FY2020

On November 30, the FCC released Order DA 20-1420, implementing certain rule changes in funding year (FY) 2020 that were slated for FY2021. The Order accelerates the effective date of the following rules:

• Site and service substitutions for the Telecom program
• Amending the SPIN change process to allow for corrective and operational changes across both the HCF and Telecom programs
• Establishing a service delivery deadline of June 30 while permitting a one-year extension of the service delivery deadline
• Permitting a one-time 120-day invoice filing extension

While the December 2019 Public Notice pushed back the effective dates for all rule changes requiring PRA approval to FY2021, the PRA approval has now been obtained and in light of the COVID-19 emergency, the FCC recognizes that making these rules effective for FY2020 could provide helpful flexibility to health care providers during the current funding year. Accordingly, earlier action is amended in the December 2019 Public Notice so that the updated site and service substitution rules, corrective and operational SPIN change rules, and service delivery deadline and invoice filing deadline extension rules became effective March 15, 2021.

All Qualifying FY2020 Funding Requests to be Funded in Full

On October 19, 2020, the FCC released Order DA 20-1233, waiving section 54.619(a) of the Commission’s rules to eliminate the cap on upfront payments and multi-year commitments for FY2020 to ensure that all RHC program requests for support can be funded in full. This waiver responds to the unique set of circumstances presented by COVID-19. The far-reaching effects of the pandemic lead the FCC to conclude that funding all RHC program requests in full will promote the public interest by enabling the widespread delivery of vital communications-based health care during the pandemic.

Certain COVID-19 Relief Waivers Further Extended

On September 3, 2020, the FCC released PN DA 20-1021, further extending some waivers granted in March for COVID-19 relief. Due to ongoing disruptions caused by COVID-19 to program participants and the need for robust connectivity, the FCC has extended the gift rule waiver and information request deadline to December 31, 2020. These waivers were originally set to expire on September 30, 2020.

Increase in Rural Health Care Program Funds for FY2020

On June 30, 2020, the FCC Wireline Competition Bureau directed USAC to carry forward up to $197.98 million in unused funds from prior funding years to the extent necessary to satisfy funding year (FY) 2020 demand for the Rural Health Care program. The total amount of support available to eligible health care providers for FY2020 will be $802.74 million, the most in the program’s history.

COVID-19 Relief Order

On March 26, 2020, the FCC released Order 20-345, granting additional relief to RHC program participants to ensure that health care providers (HCPs) have the resources they need to effectively respond to the COVID-19 pandemic. Specifically, the Order takes following actions: (1) extends the FY2020 RHC program application filing window until June 30, 2020; (2) eases competitive bidding requirements for HCPs with expiring evergreen contracts; and (3) provides an extension of several procedural deadlines, including information requests and the HCF program invoice filing deadline. The RHC program will provide additional information about these actions over the next week. Read the Order here.

Waiver of the RHC Program Gift Rules

On March 18, 2020, the FCC issued Order DA 20-290, waiving the RHC program’s gift rules to provide assistance to rural health care providers (HCPs) responding to COVID-19. In the Order, the FCC recognizes that the pandemic will increase the need for connectivity and broadband services. The gift rules waiver removes regulatory obstacles that would otherwise prevent a service provider from voluntarily offering equipment or services to HCPs to help them improve connectivity and respond to the COVID-19 pandemic more effectively. Specifically, the Order:

• Allows service providers to offer, and for HCPs to solicit or accept, free upgrades, connected devices, networking equipment, services and other things of value.
• Waives the requirement that prohibits a service provider from reducing the unsubsidized portion of charges for services paid by HCPs.
• Waives the requirement that HCPs pay the urban rate for services provided in the Telecom program.

These waivers are limited to HCPs involved in the screening and treatment of patients for COVID-19 and for providing services to other patients in an effort to mitigate the spread of COVID-19. The waivers are in effect through September 30, 2020.

FY2020 Funding Cap Announced

On March 12, 2020 the FCC released Public Notice DA 20-263, announcing the RHC program funding cap for funding year (FY) 2020. The RHC program funding cap for FY2020 is $604,759,306. The cap for upfront payments and multi-year commitments under the HCF program is $152,700,000. These new caps represent a 1.8% inflation-adjusted increase in the $594,066,116 RHC program funding cap and the cap on multi-year commitments and upfront payments from funding year 2019.